Jake Petillo
NPI #1982474482 in New Britain, Connecticut
Provider Information
- NPI Number
- 1982474482
- Entity Type
- Individual
- Name
- Jake Petillo
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jan 5, 2024
- Last Updated
- Jan 5, 2024
Practice Location
- Address
- 100 GRAND ST
- City
- New Britain
- State
- Connecticut
- ZIP Code
- 06052-2016
- Phone
- (860) 224-5011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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